Multilevel Resilience and HIV Virologic Suppression Among African American/Black Adults in the Southeastern United States.
Multilevel Resilience and HIV Virologic Suppression Among African American/Black Adults in the Southeastern United States.
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DOI：
10.1007/s40615-023-01520-w
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发表时间：
2024-02
影响因子：
3.9
通讯作者：
Howe, Chanelle J
中科院分区：
文献类型：
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作者：
Park, Jee Won;Wilson-Barthes, Marta G;Dulin, Akilah J;Hogan, Joseph W;Mugavero, Michael J;Napravnik, Sonia;Carey, Michael P;Fava, Joseph L;Dale, Sannisha K;Earnshaw, Valerie A;Johnson, Bernadette;Dougherty-Sheff, Sarah;Agil, Deana;Howe, Chanelle J
评估整体和邻里风险环境是否与美国东南部非洲裔美国人/黑人成年人中的HIV病毒学抑制有关。这项临床队列子研究包括436名非裔美国人/黑人参与者，他们入组了双亲HIV临床队列。复原力进行了评估，使用多层次的弹性资源措施（MRM）的非洲裔美国人/黑人成年人感染艾滋病毒，其中认可的MRM声明表示同意，弹性资源帮助参与者继续艾滋病毒护理，尽管面临挑战或存在于参与者的邻居。改良泊松回归模型估计病毒学抑制的校正患病率（aPR）作为分类MRM评分的函数，控制子研究入组时或之前的人口统计学、临床和行为特征。我们评估的影响措施修改（EMM）的邻里风险环境。与对多层次弹性资源支持较少的参与者相比，对病毒学抑制的aPR在支持较多或中度的参与者中分别为1.03（95%置信区间：0.96-1.11）和1.03（0.96-1.11）。关于多层次的弹性资源背书，有没有强有力的证据，EMM的邻里风险环境的水平。较高水平的弹性资源认可和病毒学抑制之间的适度正相关有时最符合数据。然而，空结果也是一致的。没有强有力的证据表明EMM关于多级弹性资源认可，这可能是由于随机误差。需要进行前瞻性研究，以更大的样本量通过社区风险环境的水平来评估EMM。在线版本包含补充材料，可通过10.1007/s40615-023-01520-w获得。
To assess overall and by neighborhood risk environments whether multilevel resilience resources were associated with HIV virologic suppression among African American/Black adults in the Southeastern United States. This clinical cohort sub-study included 436 African American/Black participants enrolled in two parent HIV clinical cohorts. Resilience was assessed using the Multilevel Resilience Resource Measure (MRM) for African American/Black adults living with HIV, where endorsement of a MRM statement indicated agreement that a resilience resource helped a participant continue HIV care despite challenges or was present in a participant’s neighborhood. Modified Poisson regression models estimated adjusted prevalence ratios (aPRs) for virologic suppression as a function of categorical MRM scores, controlling for demographic, clinical, and behavioral characteristics at or prior to sub-study enrollment. We assessed for effect measure modification (EMM) by neighborhood risk environments. Compared to participants with lesser endorsement of multilevel resilience resources, aPRs for virologic suppression among those with greater or moderate endorsement were 1.03 (95% confidence interval: 0.96–1.11) and 1.03 (0.96–1.11), respectively. Regarding multilevel resilience resource endorsement, there was no strong evidence for EMM by levels of neighborhood risk environments. Modest positive associations between higher multilevel resilience resource endorsement and virologic suppression were at times most compatible with the data. However, null findings were also compatible. There was no strong evidence for EMM concerning multilevel resilience resource endorsement, which could have been due to random error. Prospective studies assessing EMM by levels of the neighborhood risk environment with larger sample sizes are needed. The online version contains supplementary material available at 10.1007/s40615-023-01520-w.
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影响因子：
3.7
作者：
Nassel, Ariann;Wilson-Barthes, Marta G.;Howe, Chanelle J.;Napravnik, Sonia;Mugavero, Michael J.;Agil, Deana;Dulin, Akilah J.
通讯作者：
Dulin, Akilah J.
影响因子：
5.6
作者：
Fennie, Kristopher P.;Lutfi, Khaleeq;Maddox, Lorene M.;Lieb, Spencer;Trepka, Mary Jo
通讯作者：
Trepka, Mary Jo
DOI：
10.1186/s13690-021-00677-2
发表时间：
2021-08-28
期刊：
Archives of public health = Archives belges de sante publique
影响因子：
--
作者：
Parrish C;Whitney BM;Nance RM;Puttkammer N;Fishman P;Christopoulos K;Fleming J;Heath S;Mathews WC;Chander G;Moore RD;Napravnik S;Webel A;Delaney J;Crane HM;Kitahata MM
通讯作者：
Kitahata MM
影响因子：
3.7
作者：
Ahonkhai AA;Rebeiro PF;Jenkins CA;Rickles M;Cook M;Conserve DF;Pierce LJ;Shepherd BE;Brantley M;Wester C
通讯作者：
Wester C